State prevailing rates

Please note that the CHAMPUS Maximum Allowable Charges (CMAC) take precedence over the state prevailing rates listed below.

Latest update: 09-14-2018
CPT code State Provider class Modifier Current pricing Effective date Past pricing Past effective date
0359T ME 04 00 $500.00 02/16/16
0359T ME 01 00 $500.00 02/16/16
0360T ME 01 00 $62.50 02/16/16
0360T ME 04 00 $62.50 02/16/16
0361T ME 04 00 $62.50 02/16/16
0361T ME 01 00 $62.50 02/16/16
0364T ME 04 00 $62.50 07/13/18
0364T ME 01 00 $62.50 07/13/18
0365T ME 01 00 $62.50 02/16/16
0365T ME 04 00 $62.50 02/16/16
0368T ME 04 00 $62.50 02/16/16
0368T ME 01 00 $62.50 02/16/16
0369T ME 04 00 $62.50 02/16/16
0369T ME 01 00 $62.50 02/16/16
0370T ME 04 00 $125.00 02/16/16
0370T ME 01 00 $125.00 02/16/16
15824 ME 04 00 $343.40 07/13/18
15824 ME 01 00 $343.40 07/13/18
15825 ME 04 00 $343.40 07/13/18
15825 ME 01 00 $343.40 07/13/18
15826 ME 04 00 $343.40 07/13/18
15826 ME 01 00 $343.40 07/13/18
15828 ME 01 00 $343.40 07/13/18
15828 ME 04 00 $343.40 07/13/18
15829 ME 04 00 $343.40 07/13/18
15829 ME 01 00 $343.40 07/13/18
15876 ME 01 00 $343.40 07/13/18
15876 ME 04 00 $343.40 07/13/18
15878 ME 04 00 $343.40 07/13/18
15878 ME 01 00 $343.40 07/13/18
15879 ME 01 00 $343.40 07/13/18
15879 ME 04 00 $343.40 07/13/18
17380 ME 01 00 $343.40 02/16/16
17380 ME 04 00 $343.40 02/16/16
21088 ME 04 00 $343.40 02/16/16
21088 ME 01 00 $343.40 02/16/16
21089 ME 04 00 $343.40 07/13/18
21089 ME 01 00 $343.40 07/13/18
22841 ME 04 00 $343.40 07/13/18
22841 ME 01 00 $343.40 07/13/18
24940 ME 04 00 $343.40 07/13/18
24940 ME 01 00 $343.40 07/13/18
26989 ME 01 00 $343.40 07/13/18
26989 ME 04 00 $343.40 07/13/18
32850 ME 04 00 $343.40 07/13/18
32850 ME 01 00 $343.40 07/13/18
33930 ME 01 00 $343.40 07/13/18
33930 ME 04 00 $343.40 07/13/18
33940 ME 04 00 $343.40 07/13/18
33940 ME 01 00 $343.40 07/13/18
41821 ME 01 00 $343.40 07/13/18
41821 ME 04 00 $343.40 07/13/18
41870 ME 04 00 $343.40 07/13/18
41870 ME 01 00 $343.40 07/13/18
43496 ME 04 00 $343.40 07/13/18
43496 ME 01 00 $343.40 07/13/18
47133 ME 04 00 $343.40 07/13/18
47133 ME 01 00 $343.40 07/13/18
48160 ME 01 00 $343.40 07/13/18
48160 ME 04 00 $343.40 07/13/18
48550 ME 04 00 $343.40 07/13/18
48550 ME 01 00 $343.40 07/13/18
49906 ME 04 00 $343.40 07/13/18
49906 ME 01 00 $343.40 07/13/18
50300 ME 01 00 $343.40 07/13/18
50300 ME 04 00 $343.40 07/13/18
55970 ME 04 00 $343.40 07/13/18
55970 ME 01 00 $343.40 07/13/18
55980 ME 01 00 $343.40 07/13/18
55980 ME 04 00 $343.40 07/13/18
58974 ME 04 00 $343.40 02/16/16
58974 ME 01 00 $343.40 02/16/16
65767 ME 04 00 $343.40 07/13/18
65767 ME 01 00 $343.40 07/13/18
65771 ME 01 00 $343.40 02/16/16
65771 ME 04 00 $343.40 02/16/16
69090 ME 04 00 $343.40 02/16/16
69090 ME 01 00 $343.40 02/16/16
69710 ME 04 00 $343.40 02/16/16
69710 ME 01 00 $343.40 02/16/16
69949 ME 04 00 $343.40 07/13/18
69949 ME 01 00 $343.40 07/13/18
69979 ME 04 00 $343.40 07/13/18
69979 ME 01 00 $343.40 07/13/18
76001 ME 01 00 $811.00 04/18/17 $758.00 08/21/15
76001 ME 01 00 $811.00 07/13/18 $811.00 02/27/17
76001 ME 01 00 $811.00 07/13/18 $811.00 04/18/17
76001 ME 01 TC $492.02 07/13/18
76001 ME 04 00 $524.40 07/13/18
76001 ME 04 TC $492.02 07/13/18
78609 ME 04 00 $343.40 07/13/18
78609 ME 01 00 $343.40 07/13/18
79300 ME 04 00 $343.40 07/13/18
79300 ME 01 00 $343.40 07/13/18
86860 ME 01 00 $54.00 07/13/18
86860 ME 04 00 $54.00 07/13/18
86891 ME 04 00 $90.00 07/13/18
86891 ME 01 00 $90.00 07/13/18
86930 ME 04 00 $9.00 07/13/18
86930 ME 01 00 $9.00 07/13/18
86931 ME 01 00 $9.00 07/13/18
86931 ME 04 00 $9.00 07/13/18
86932 ME 01 00 $9.00 07/13/18
86932 ME 04 00 $9.00 07/13/18
86950 ME 01 00 $45.00 07/13/18
86950 ME 04 00 $45.00 07/13/18
86970 ME 04 00 $144.00 07/13/18
86970 ME 01 00 $144.00 07/13/18
86971 ME 04 00 $144.00 07/13/18
86971 ME 01 00 $144.00 07/13/18
86972 ME 04 00 $144.00 07/13/18
86972 ME 01 00 $144.00 07/13/18
86975 ME 01 00 $144.00 07/13/18
86975 ME 04 00 $144.00 07/13/18
86976 ME 01 00 $144.00 07/13/18
86976 ME 04 00 $144.00 07/13/18
86977 ME 01 00 $144.00 07/13/18
86977 ME 04 00 $144.00 07/13/18
86978 ME 04 00 $144.00 07/13/18
86978 ME 01 00 $144.00 07/13/18
90736 ME 01 NU $235.51 10/19/16 $208.09 05/07/15
90736 ME 04 NU $235.51 10/19/16 $208.09 05/07/15
90736 ME 04 00 $235.51 07/19/17
90736 ME 04 00 $254.35 07/20/17
90736 ME 01 00 $235.51 07/19/17
90736 ME 01 00 $254.35 07/20/17
90993 ME 04 00 $343.40 07/13/18
90993 ME 01 00 $343.40 07/13/18
92993 ME 01 00 $343.40 07/13/18
92993 ME 04 00 $343.40 07/13/18
99000 ME 01 00 $24.00 07/13/18 $21.00 02/27/17
99000 ME 01 00 $24.00 07/13/18 $22.00 04/18/17
99000 ME 04 00 $24.00 07/13/18 $21.00 02/27/17
99000 ME 04 00 $24.00 07/13/18 $21.00 04/18/17
99000 ME 01 00 $22.00 04/18/17
99000 ME 04 00 $21.00 04/18/17
99001 ME 01 00 $37.95 07/13/18 $37.95 02/27/17
99001 ME 01 00 $37.95 07/13/18 $37.95 04/18/17
99001 ME 04 00 $37.95 07/13/18 $37.95 02/27/17
99001 ME 04 00 $37.95 07/13/18 $37.95 04/18/17
99001 ME 04 00 $37.95 04/18/17
99001 ME 01 00 $37.95 04/18/17
99071 ME 04 00 $1.80 02/16/16
99071 ME 01 00 $1.80 02/16/16
99075 ME 04 00 $1.80 02/16/16
99075 ME 01 00 $1.80 02/16/16
99455 ME 04 00 $343.40 02/16/16
99455 ME 01 00 $343.40 02/16/16
A0225 ME 01 00 $235.00 07/13/18
A0225 ME 04 00 $235.00 07/13/18
A0431 ME 01 00 $2,364.68 04/09/18 $2,781.98 12/08/16
A0431 ME 04 00 $2,364.68 04/09/18 $2,781.98 12/08/16
A0431 ME 04 00 $3,272.93 12/10/15
A0431 ME 01 00 $3,272.93 12/10/15
A0436 ME 01 00 $15.86 04/09/18 $18.66 12/08/16
A0436 ME 04 00 $15.86 04/09/18 $18.66 12/08/16
A0436 ME 04 00 $21.95 12/10/15
A0436 ME 01 00 $21.95 12/10/15
A4206 ME 04 00 $0.33 07/13/18
A4206 ME 01 00 $0.33 07/13/18
A4208 ME 04 00 $0.27 07/13/18
A4208 ME 01 00 $0.27 07/13/18
A4209 ME 04 00 $3.05 07/13/18
A4209 ME 01 00 $3.05 07/13/18
A4212 ME 04 00 $5.00 07/13/18
A4212 ME 01 00 $5.00 07/13/18
A4213 ME 04 00 $2.60 07/13/18
A4213 ME 01 00 $2.60 07/13/18
A4215 ME 04 00 $22.00 07/13/18
A4215 ME 01 00 $22.00 07/13/18
A4218 ME 04 00 $0.58 07/13/18
A4218 ME 01 00 $0.58 07/13/18
A4223 ME 01 00 $61.80 03/24/17 $61.80 07/14/15
A4223 ME 04 00 $61.80 03/24/17 $61.80 07/14/15
A4245 ME 01 00 $6.72 07/13/18
A4245 ME 04 00 $6.72 07/13/18
A4263 ME 04 00 $95.00 07/13/18
A4263 ME 01 00 $95.00 07/13/18
A4550 ME 01 00 $52.00 04/18/17 $50.00 08/29/15
A4550 ME 01 00 $52.00 07/13/18 $52.00 02/27/17
A4550 ME 01 00 $52.00 07/13/18 $52.00 04/18/17
A4550 ME 04 00 $52.00 04/18/17 $50.00 08/29/15
A4550 ME 04 00 $52.00 07/13/18 $52.00 02/27/17
A4550 ME 04 00 $52.00 07/13/18 $52.00 04/18/17
A4570 ME 04 00 $17.00 07/13/18
A4570 ME 01 00 $17.00 07/13/18
A4580 ME 04 00 $110.00 07/13/18
A4580 ME 01 00 $110.00 07/13/18
A4590 ME 01 00 $99.00 07/13/18
A4590 ME 04 00 $99.00 07/13/18
A4627 ME 04 00 $80.00 07/13/18
A4627 ME 01 00 $80.00 07/13/18
A4770 ME 01 00 $160.00 07/13/18
A4770 ME 04 00 $160.00 07/13/18
A4927 ME 04 00 $16.14 07/13/18
A4927 ME 01 00 $16.14 07/13/18
A6208 ME 01 00 $67.11 07/13/18
A6208 ME 04 00 $67.11 07/13/18
A6213 ME 01 00 $9.80 07/13/18
A6213 ME 04 00 $9.80 07/13/18
A6451 ME 04 00 $1.99 07/13/18
A6451 ME 01 00 $1.99 07/13/18
A6530 ME 01 00 $50.00 03/24/17 $56.00 08/20/15
A6530 ME 01 NU $50.00 03/24/17 $56.00 08/20/15
A6530 ME 04 00 $50.00 03/24/17 $56.00 08/20/15
A6530 ME 04 NU $50.00 03/24/17 $56.00 08/20/15
A9282 ME 04 00 $2,000.00 07/13/18
A9282 ME 01 00 $2,000.00 07/13/18
A9500 ME 01 00 $397.00 04/18/17 $278.00 09/01/15
A9500 ME 01 00 $397.00 07/13/18 $397.00 02/27/17
A9500 ME 01 00 $397.00 07/13/18 $397.00 04/18/17
A9500 ME 04 00 $125.00 07/13/18
A9502 ME 01 00 $423.00 07/13/18 $411.00 02/27/17
A9502 ME 04 00 $208.00 07/13/18
A9503 ME 01 00 $223.00 04/18/17 $214.25 09/02/15
A9503 ME 01 00 $223.00 07/13/18 $223.00 02/27/17
A9503 ME 01 00 $223.00 07/13/18 $223.00 04/18/17
A9503 ME 04 00 $132.00 07/13/18 $132.00 02/27/17
A9505 ME 04 00 $31.74 07/13/18
A9505 ME 01 00 $31.74 07/13/18
A9507 ME 04 00 $3,244.35 07/13/18
A9507 ME 01 00 $3,244.35 07/13/18
A9510 ME 04 00 $327.50 07/13/18
A9510 ME 01 00 $327.50 07/13/18
A9516 ME 01 00 $268.00 07/13/18
A9516 ME 04 00 $68.45 07/13/18
A9517 ME 01 00 $33.31 07/13/18
A9517 ME 04 00 $33.31 07/13/18
A9521 ME 01 00 $567.61 07/13/18
A9521 ME 04 00 $567.61 07/13/18
A9530 ME 01 00 $28.91 07/13/18
A9530 ME 04 00 $28.91 07/13/18
A9537 ME 01 00 $254.65 07/13/18 $143.69 02/27/17
A9537 ME 01 00 $254.65 07/13/18 $221.52 04/18/17
A9537 ME 01 00 $221.52 04/18/17
A9537 ME 04 00 $59.54 07/13/18
A9538 ME 01 00 $24.70 07/13/18
A9538 ME 04 00 $24.70 07/13/18
A9539 ME 01 00 $16.25 07/13/18
A9539 ME 04 00 $16.25 07/13/18
A9541 ME 01 00 $231.50 07/13/18 $209.00 02/27/17
A9541 ME 04 00 $75.35 07/13/18
A9542 ME 04 00 $2,769.63 07/13/18
A9542 ME 01 00 $2,769.63 07/13/18
A9551 ME 04 00 $126.63 07/13/18
A9551 ME 01 00 $126.63 07/13/18
A9552 ME 01 00 $1,436.00 04/18/17 $1,044.00 09/16/15
A9552 ME 01 00 $1,436.00 07/13/18 $1,140.00 02/27/17
A9552 ME 01 00 $1,436.00 07/13/18 $1,436.00 04/18/17
A9552 ME 04 00 $900.00 07/13/18
A9556 ME 01 00 $32.04 07/13/18
A9556 ME 04 00 $32.04 07/13/18
A9558 ME 01 00 $38.96 07/13/18
A9558 ME 04 00 $38.96 07/13/18
A9560 ME 04 00 $114.00 07/13/18
A9560 ME 01 00 $114.00 07/13/18
A9561 ME 04 00 $34.56 07/13/18
A9561 ME 01 00 $34.56 07/13/18
A9562 ME 04 00 $445.51 07/13/18
A9562 ME 01 00 $445.51 07/13/18
A9600 ME 01 00 $1,014.13 07/13/18
A9600 ME 04 00 $1,014.13 07/13/18
A9700 ME 04 00 $149.00 07/13/18
A9700 ME 01 00 $149.00 07/13/18
B4172 ME 04 00 $195.00 07/13/18
B4172 ME 01 00 $195.00 07/13/18
B5200 ME 01 00 $4.94 07/13/18
B5200 ME 04 00 $4.94 07/13/18
C1713 ME 01 00 $795.00 07/13/18
C1713 ME 04 00 $795.00 07/13/18
C1769 ME 01 00 $549.50 07/13/18
C1769 ME 04 00 $549.50 07/13/18
C1781 ME 01 00 $1,769.00 07/13/18
C1781 ME 04 00 $1,769.00 07/13/18
C1887 ME 01 00 $379.00 07/13/18
C1887 ME 04 00 $379.00 07/13/18
C8908 ME 04 00 $599.40 07/13/18
C8908 ME 01 00 $599.40 07/13/18
C9113 ME 01 00 $58.56 07/13/18
C9113 ME 04 00 $30.00 07/13/18
D7230 ME 01 00 $448.00 07/13/18 $415.00 02/27/17
D7230 ME 01 00 $448.00 07/13/18 $415.00 04/18/17
D7230 ME 01 00 $415.00 04/18/17
D7230 ME 04 00 $275.00 07/13/18
D7240 ME 01 00 $450.00 07/13/18 $450.00 02/27/17
D7240 ME 01 00 $450.00 07/13/18 $450.00 04/18/17
D7240 ME 04 00 $450.00 07/13/18 $450.00 04/18/17
D7240 ME 04 00 $450.00 04/18/17
D7240 ME 01 00 $450.00 04/18/17
E0246 ME 04 00 $63.00 02/16/16
E0246 ME 01 00 $63.00 02/16/16
E0246 ME 04 RR $5.25 02/16/16
E0246 ME 01 RR $5.25 02/16/16
E0270 ME 01 RR $541.67 07/13/18
E0270 ME 04 00 $6,500.00 07/13/18
E0270 ME 04 RR $541.67 07/13/18
E0270 ME 01 00 $6,500.00 07/13/18
E0352 ME 01 00 $45.53 07/13/18
E0352 ME 04 00 $45.53 07/13/18
E0430 ME 04 00 $315.00 07/13/18
E0430 ME 01 RR $26.25 07/13/18
E0430 ME 01 00 $315.00 07/13/18
E0430 ME 04 RR $26.25 07/13/18
E0435 ME 04 00 $3,700.00 07/13/18
E0435 ME 04 NU $3,700.00 07/13/18
E0435 ME 01 00 $3,700.00 07/13/18
E0435 ME 01 NU $3,700.00 07/13/18
E0440 ME 01 NU $3,706.50 07/13/18
E0440 ME 04 00 $3,706.50 07/13/18
E0440 ME 01 00 $3,706.50 07/13/18
E0440 ME 04 NU $3,706.50 07/13/18
E0445 ME 01 RR $1,282.31 07/13/18 $1,282.31 02/27/17
E0445 ME 01 RR $1,282.31 07/13/18 $1,282.31 04/18/17
E0445 ME 04 RR $1,282.31 07/13/18 $1,282.31 02/27/17
E0445 ME 04 RR $1,282.31 07/13/18 $1,282.31 04/18/17
E0445 ME 04 RR $1,282.31 04/18/17
E0445 ME 01 RR $1,282.31 04/18/17
E0455 ME 04 00 $2,750.00 07/13/18
E0455 ME 01 RR $229.17 07/13/18
E0455 ME 04 RR $229.17 07/13/18
E0455 ME 01 00 $2,750.00 07/13/18
E0700 ME 01 00 $32.00 07/13/18
E0700 ME 04 RR $2.67 07/13/18
E0700 ME 01 RR $2.67 07/13/18
E0700 ME 04 00 $32.00 07/13/18
E0710 ME 01 00 $12.00 07/13/18
E0710 ME 04 RR $1.00 07/13/18
E0710 ME 04 00 $12.00 07/13/18
E0710 ME 01 RR $1.00 07/13/18
E0970 ME 04 00 $41.10 07/13/18
E0970 ME 01 RR $3.43 07/13/18
E0970 ME 01 00 $41.10 07/13/18
E0970 ME 04 RR $3.43 07/13/18
E1085 ME 01 RR $62.50 07/13/18
E1085 ME 04 NU $750.00 07/13/18
E1085 ME 04 00 $750.00 07/13/18
E1085 ME 01 NU $750.00 07/13/18
E1085 ME 01 00 $750.00 07/13/18
E1085 ME 04 RR $62.50 07/13/18
E1086 ME 01 RR $69.83 07/13/18
E1086 ME 04 00 $838.00 07/13/18
E1086 ME 04 NU $838.00 07/13/18
E1086 ME 01 NU $838.00 07/13/18
E1086 ME 01 00 $838.00 07/13/18
E1086 ME 04 RR $69.83 07/13/18
E1089 ME 04 00 $1,200.00 07/13/18
E1089 ME 01 RR $100.00 07/13/18
E1089 ME 01 00 $1,200.00 07/13/18
E1089 ME 04 RR $100.00 07/13/18
E1090 ME 04 00 $880.00 07/13/18
E1090 ME 01 RR $73.33 07/13/18
E1090 ME 04 NU $880.00 07/13/18
E1090 ME 01 00 $880.00 07/13/18
E1090 ME 01 NU $880.00 07/13/18
E1090 ME 04 RR $73.33 07/13/18
E1130 ME 01 00 $475.00 07/13/18
E1130 ME 01 NU $475.00 07/13/18
E1130 ME 04 NU $475.00 07/13/18
E1130 ME 01 RR $39.58 07/13/18
E1130 ME 04 00 $475.00 07/13/18
E1130 ME 04 RR $39.58 07/13/18
E1140 ME 01 00 $784.00 07/13/18
E1140 ME 04 RR $65.33 07/13/18
E1140 ME 01 NU $784.00 07/13/18
E1140 ME 01 RR $65.33 07/13/18
E1140 ME 04 NU $784.00 07/13/18
E1140 ME 04 00 $784.00 07/13/18
E1250 ME 01 NU $860.30 07/13/18
E1250 ME 04 RR $71.69 07/13/18
E1250 ME 01 00 $860.30 07/13/18
E1250 ME 01 RR $71.69 07/13/18
E1250 ME 04 00 $860.30 07/13/18
E1250 ME 04 NU $860.30 07/13/18
E1260 ME 01 NU $887.00 07/13/18
E1260 ME 01 00 $887.00 07/13/18
E1260 ME 04 RR $73.92 07/13/18
E1260 ME 01 RR $73.92 07/13/18
E1260 ME 04 00 $887.00 07/13/18
E1260 ME 04 NU $887.00 07/13/18
E1285 ME 04 RR $125.00 07/13/18
E1285 ME 01 RR $125.00 07/13/18
E1285 ME 04 00 $1,500.00 07/13/18
E1285 ME 04 NU $1,500.00 07/13/18
E1285 ME 01 NU $1,500.00 07/13/18
E1285 ME 01 00 $1,500.00 07/13/18
E1290 ME 04 NU $1,500.00 07/13/18
E1290 ME 01 00 $1,500.00 07/13/18
E1290 ME 04 00 $1,500.00 07/13/18
E1290 ME 01 NU $1,500.00 07/13/18
E1353 ME 04 RR $54.17 07/13/18
E1353 ME 01 RR $54.17 07/13/18
E1355 ME 04 RR $3.67 07/13/18
E1355 ME 01 RR $3.67 07/13/18
G8539 ME 04 00 $31.25 07/13/18
G8539 ME 01 00 $31.25 07/13/18
G8542 ME 01 00 $31.25 07/13/18
G8542 ME 04 00 $31.25 07/13/18
H0015 ME 01 00 $276.00 09/18/17 $262.00 02/24/16
H0015 ME 04 00 $276.00 09/18/17 $262.00 02/24/16
H0015 ME 01 00 $262.00 02/24/16
H0015 ME 04 00 $262.00 02/24/16
H0035 ME 01 00 $262.00 09/22/15 $248.00 01/03/14
H0035 ME 01 00 $276.00 09/18/17 $262.00 09/22/15
H0035 ME 04 00 $262.00 09/22/15 $248.00 01/03/14
H0035 ME 04 00 $276.00 09/18/17 $262.00 09/22/15
H0037 ME 01 00 $349.00 09/22/15 $331.00 01/03/14
H0037 ME 01 00 $368.00 09/18/17 $349.00 09/22/15
H0037 ME 04 00 $349.00 09/22/15 $331.00 01/03/14
H0037 ME 04 00 $368.00 09/18/17 $349.00 09/22/15
H2019 ME 04 00 $12.50 07/13/18
H2019 ME 01 00 $18.75 07/13/18
K0739 ME 01 00 $24.83 12/01/15 $24.30 12/19/13
K0739 ME 01 00 $25.48 01/24/18 $25.08 12/29/16
K0739 ME 04 00 $24.83 12/01/15 $24.30 12/19/13
K0739 ME 04 00 $25.48 01/24/18 $25.08 12/29/16
L3260 ME 01 00 $40.00 07/13/18 $40.00 04/18/17
L3260 ME 04 00 $40.00 07/13/18 $40.00 04/18/17
L3260 ME 01 00 $40.00 04/18/17
L3260 ME 04 00 $40.00 04/18/17
L3265 ME 04 00 $20.00 02/16/16
L3265 ME 01 00 $20.00 02/16/16
L4205 ME 01 00 $22.13 12/01/15 $21.66 12/19/13
L4205 ME 01 00 $22.71 01/24/18 $22.35 12/29/16
L4205 ME 04 00 $22.13 12/01/15 $21.66 12/19/13
L4205 ME 04 00 $22.71 01/24/18 $22.35 12/29/16
L7520 ME 01 00 $30.08 12/01/15 $29.43 12/19/13
L7520 ME 01 00 $30.87 01/24/18 $30.38 12/29/16
L7520 ME 04 00 $30.08 12/01/15 $29.43 12/19/13
L7520 ME 04 00 $30.87 01/24/18 $30.38 12/29/16
Q0081 ME 04 00 $232.00 07/13/18
Q0081 ME 01 00 $232.00 07/13/18
R0070 ME 04 00 $140.00 07/13/18
R0070 ME 01 00 $140.00 07/13/18
S5108 ME 01 00 $31.25 07/13/18
S5108 ME 04 00 $31.25 07/13/18
S5110 ME 04 00 $31.25 07/13/18
S5110 ME 01 00 $31.25 07/13/18
S5115 ME 01 00 $31.25 07/13/18
S5115 ME 04 00 $31.25 07/13/18
S9430 ME 01 00 $500.00 07/13/18
S9430 ME 04 00 $100.00 07/13/18
S9480 ME 01 00 $276.00 09/18/17 $262.00 02/24/16
S9480 ME 04 00 $276.00 09/18/17 $262.00 02/24/16
S9480 ME 01 00 $262.00 02/24/16
S9480 ME 04 00 $262.00 02/24/16
V2781 ME 01 00 $225.00 07/13/18
V2781 ME 04 00 $225.00 07/13/18
V5264 ME 01 00 $14.85 07/13/18
V5264 ME 04 00 $14.85 07/13/18